Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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San Juan Dental Anesthesia Services, Professional LLC

San Juan Dental Anesthesia Services, Professional LLC was paid $40K by Medicaid between Apr 2023 and Aug 2024, across 3 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 75% of everything it billed.

33Billing provider infoSAN JUAN DENTAL ANESTHESIA SERVICES, PROFESSIONAL LLC
DURANGO, CO 81301
33aNPI1609250810assigned 07/17/2015
33bProvider typeDentist Anesthesiologist
28Total paid$40K
24GClaims194
24DCodes billed3
24AFirst – last monthApr 2023 – Aug 2024
Compared with peers

Next to other Dentist Anesthesiologist providers in Colorado

Rank by total paid#11 of 11
Median peer was paid$738K
This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2023119$25K
2024incomplete75$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 75% 63 63 $30K
D9222 18% 65 65 $7K
D9219 7.0% 66 65 $3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialCLARK, TAYLOR (OWNER)
Same official

Other billing entities under CLARK, TAYLOR

Full network →
ProviderLocationPaid
Taylor M. Clark, D.D.S., Professional LLCDurango, CO$110K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.